今日文獻聚焦於後疫情時代青少年拒學的多維面向,尤其強調發展心理學視角(如分離- individuation 過程受損)與家庭因素(如認知偏差)的重要性,同時顯示學校為基礎的早期介入(如校護師導引焦慮模組、書寫監測)具備實用潛力,反映�床研究正從單一焦慮模型擴展至整合發展、家庭與系統因素的複雜模型。
Clinical child psychology and psychiatry · Beyond Anxiety: School Refusal as a Disrupted Individuation Process in Post-COVID Adolescents.
提出後疫情時代青少年拒學不僅源於焦慮,更反映分離- individuation 過程被 lockdown 與數位環境所干擾,提供非病理化的解讀框架,具有重大概念轉移意義。
Asian journal of psychiatry · Efficacy of dual-track group CBT on emotion-related school attendance challenges and parent-adolescent perceptual bias among Chinese adolescents with depression: A non-randomized controlled trial.
雙軌團體認知行為治療(親線上、青少年線下)顯著改善家長報告的返校率(16.7%→66.7%),並降低親少年正向認知偏差,證明家長參與是關鍵。
The Journal of school nursing : the official publication of the National Association of School Nurses · Impact of the Child Anxiety Learning Modules (CALM), a School Nurse-Delivered Intervention for Anxiety, on Elementary Students' School Outcomes.
校護師導入的簡易焦慮介入模組(CALM)顯著改善小學生工作記憶、降低焦慮對學習影響與負面課堂行為,證明非心理專業人員亦能有效介入。
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · Developmental Dysgraphia in Child and Adolescent Psychiatric-Mental Health Nursing: An Integrative Review.
手寫障礙(發育性書寫障礙)常伴隨焦慮、憂鬱與拒學,卻常被精神評估忽略,建議將書寫監測納入精神科評估,以早期偵測學習障礙。
The Journal of school health · Improving Pain Literacy Among Future Educators: Contemporary Pain Neuroscience Education in Teacher Preparation.
將當代疼痛神經科學教育納入教師培訓課程,可顯著提升未來教師對疼痛的知識、信心與應對能力,有助減少學生因疼痛導致的上學回避與污名。
Journal of autism and developmental disorders
自閉症診斷後雖未顯著降低總社會成本,但醫療費用減少、生活品質趨向改善及學校缺席趨減,提示早期診斷對資源配置與長期福祉的潛在正向影響。
Journal of renal care
接受腹膜透析的兒童常見情緒困擾(恐懼、悲傷)與社會隔離,並伴隨學校生活中斷與同儕關係受損,凸顯身體疾病對學習參與的間接影響。
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
托兒所缺席監測系統(NSASSy)能有效緩解社區流感對托兒所爆發的影響,減少所有症狀發生率,證明主動監測具預防價值。